Home 
Bratislava Medical Journal 2023 Bratislava Medical Journal Vol.124, No.3, p.212–220, 2023
Bratislava Medical Journal 2023 Bratislava Medical Journal Vol.124, No.3, p.212–220, 2023
Journal info
|
||||
Select Journal
Journals
Bratislava Medical Journal 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 Ekologia - Ecology Endocrine Regulations General Physiology and Biophysics Neoplasma Acta Virologica Studia Psychologica Cardiology Letters Psychológia a patopsych. dieťaťa Kovove Materialy-Metallic Materials Slovenská hudba 2025Webshop Cart
Your Cart is currently empty.
Info: Your browser does not accept cookies. To put products into your cart and purchase them you need to enable cookies.
Bratislava Medical Journal Vol.124, No.3, p.212–220, 2023 |
||
| Title: Long-term results of myocardial revascularization in patients with multivessel disease | ||
| Author: Maira Izmatovna MADIYEVA, Marat A ARIPOV, Yuriy V PYA, Alexej Y GONCHAROV, Gulmira N SHAKIROVA | ||
| Abstract: BACKGROUND: Choosing the method of revascularization – coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) – remains debatable. METHODS: We selected 406 patients with multivessel disease who underwent PCI with a drug-eluting stent (DES) (n = 200, 100 with a SYNTAX score (SS) ≤ 22 and 100 with a SS 23–32); and CABG (n = 206, 100 with a SS ≤ 22 and 106 with a SS 23–32). The mean follow-up period was 9±1.9 years. The endpoints of the study were as follows: major adverse cardiac and cerebrovascular events (МАССЕ), a repeat revascularization (RR), diminished left ventricular ejection fraction (LVEF), and high SS in dynamics. RESULTS: Patients with an intermediate SS needed RR more often with PCI than after CABG (64 % vs 22.6 %; HR: 3.52; CI: 2.19–5.66; р < 0.001). We found no significant differences for other MACCE between the groups. The decrease in LVEF was greater in the low SS subgroup in operated patients than after PCI (39.5 % vs 27.7 %; HR: 0.57; CI: 0.34–0.98; p = 0.04). The difference between the initial and final SS, was greater after the CABG than after PCI (43.5 % vs 10.9 %; HR: 0.26; CI: 0.14–0.47; р < 0.001). CONCLUSIONS: After 9 ± 1.9 years in intermediate SS group CABG exhibited an advantage over PCI with DES in terms of the MACCE indicators due to a smaller number of RR in the CABG group. The CABG group showed a more significant progression of atherosclerosis, and more heart failure cases (Tab. 2, Fig. 4, Ref. 29). Text in PDF www.elis.sk |
||
| Keywords: coronary artery disease, coronary artery bypass grafting, percutaneous coronary intervention, SYNTAX score | ||
| Published online: 03-Jan-2023 | ||
| Year: 2023, Volume: 124, Issue: 3 | Page From: 212, Page To: 220 | |
| doi:10.4149/BLL_2023_034 |
||
|
|
 download file |
|